Active NPI
Jeffrey Allen Bayne, MS, NCC
- Mental Health Counselor
- Cleveland, TN
National Provider Identifier
1407508401
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 3505 Adkisson Dr NW Ste 165
Cleveland, TN 37312-6807 - Phone
- (423) 715-3904
- Fax
- (423) 473-6712
- NPI assigned
- Jan 20, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | |||
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
3505 Adkisson Dr NW Ste 165
Cleveland, TN 37312-6807
Mailing address
3505 Adkisson Dr NW Ste 165
Cleveland, TN 37312-6807
Phone (423) 715-3904
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6918 Shallowford Rd
Suite 317
Chattanooga, TN 37421-1783
Phone (423) 855-7977
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellspring Therapy Services, LLC | Current | Accepting new patients | |
| Transitions Counseling LLC | Past | Accepting new patients |
Locations
6918 Shallowford Rd
Ste 317
Chattanooga, TN 37421
Phone (423) 827-7695
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinical Social Worker
- Chattanooga, TN
- NPI 1275224867
-
- Clinical Social Worker
- Chattanooga, TN
- NPI 1245647833
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1642636800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1642636800000",
"number": "1407508401",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3505 ADKISSON DR NW STE 165",
"city": "CLEVELAND",
"state": "TN",
"postal_code": "373126807",
"telephone_number": "423-715-3904",
"fax_number": "423-473-6712"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3505 ADKISSON DR NW STE 165",
"city": "CLEVELAND",
"state": "TN",
"postal_code": "373126807",
"telephone_number": "423-715-3904",
"fax_number": "423-473-6712"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAYNE",
"first_name": "JEFFREY",
"middle_name": "ALLEN",
"credential": "MS, NCC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-01-20",
"last_updated": "2022-01-20",
"certification_date": "2022-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cleveland, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.